The nurse must assess a client's judgment to determine mental status. To best accomplish this, the nurse should have the client:
A. interpret proverbs.
B. spell words backward.
C. count by serial sevens.
D. discuss hypothetical ethical situations.
Answer: D. discuss hypothetical ethical situations.
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The nurse is assessing a patient's pulses and notices a difference between the patient's apical pulse and radial pulse. The apical pulse was 118 beats per minute, and the radial pulse was 105 beats per minute
What is the pulse deficit?
A patient has papillary stenosis of the sphincter of Oddi. Which of the following is an effect of this dysfunction that the nurse should expect to see?
A) Increased esophageal distension B) Duodenal reflux C) Aspiration of food D) Decreased bile in the duodenum
A 66-year-old woman presents at the clinic complaining of motion sickness. The physician orders a scopolamine patch. Which statement by the patient leads you to believe she knows how to use the patch?
A) "I will place it on my chest each morning after I shower." B) "I will use it only if I feel sick to my stomach." C) "I will change the patch every 4 hours. I can use the patches for 1 week." D) "I will change the patch every 3 days."
The nurse does not know the answer to a question posed by a client. Which of these actions should the nurse take?
a. Admit not knowing but offer to find out. b. Give the client literature pertaining to the subject. c. Suggest the client ask the health care provider. d. Tell the client what a possibly correct answer may be.